Individual
DR. ANDREA LUCILE BURGO-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 CAMPBELL AVE, VACT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3403
Mailing address
20 KENTER PL, NEW HAVEN, CT 06515-2412
(203) 389-6335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025451
CT
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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